Individual
JOHN J FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3755 ORANGE PL STE 102, BEACHWOOD, OH 44122-4455
(216) 765-0358
(216) 765-0378
Mailing address
3755 ORANGE PL STE 105, BEACHWOOD, OH 44122-4426
(216) 765-0358
(216) 765-0378
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35051622
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0631785
—
OH
Enumeration date
07/17/2006
Last updated
09/19/2019
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